Shared genetic factors between osteoarthritis and cardiovascular disease may underlie common etiology
Karin Magnusson1,2, Aleksandra Turkiewicz3, Andrea Dell'Isola3
1Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Lund, Remissgatan 4, 222 42, Lund, Sweden. karin.magnusson@med.lu.se.
Insights
Shared genetic factors, not just age or lifestyle, explain the link between osteoarthritis and cardiovascular disease. This suggests a deeper biological connection than previously understood, challenging current views.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Rheumatology
Background:
- Osteoarthritis (OA) is a common musculoskeletal condition.
- OA increases the risk of cardiovascular disease (CVD), including heart attack and stroke.
- The co-occurrence of OA and CVD may stem from shared risk factors like age, lifestyle, or genetics.
Purpose of the Study:
- To investigate the underlying factors contributing to the correlation between osteoarthritis and cardiovascular disease.
- To determine if shared genetic liability explains the co-occurrence of OA and CVD, independent of other risk factors.
Main Methods:
- Utilized genetic analysis to explore shared genetic factors between OA and CVD.
- Accounted for potential confounding variables such as age, body weight, smoking, and physical activity levels.
Main Results:
- The correlation between osteoarthritis and cardiovascular disease is significantly explained by shared genetic factors.
- This genetic link appears independent of age and body weight.
- The association is also likely independent of lifestyle factors like smoking and physical activity.
Conclusions:
- Shared genetic factors play a crucial role in the co-occurrence of osteoarthritis and cardiovascular disease.
- The traditional view of OA solely as a risk factor for CVD is challenged by these findings.
- Re-evaluation of diagnostic boundaries between OA and CVD may be warranted based on shared genetic underpinnings.
Abstract:
Osteoarthritis is one of the most common musculoskeletal diseases and increases the risk of severe cardiovascular disease, like heart attack and stroke. In some individuals, osteoarthritis and cardiovascular disease will co-occur. This co-occurrence might be due to shared risk factors, for example high age, lifestyle factors and/or a shared genetic liability for the two diseases. Here, we show that the correlation between osteoarthritis and cardiovascular disease can be explained by shared genetic factors, independent of high age and body weight, and also likely independent of lifestyle factors, like smoking and physical activity level. Findings suggest that genetic factors that are shared for osteoarthritis and cardiovascular disease may contribute to both diseases. Thus, the prevailing idea that osteoarthritis is predominantly a risk factor for cardiovascular disease is challenged. Our findings imply that the current diagnostic boundaries between these diseases may need to be re-evaluated.
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